The Experts below are selected from a list of 291 Experts worldwide ranked by ideXlab platform
Brian Nussenbaum - One of the best experts on this subject based on the ideXlab platform.
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management of Sphenoid Sinus cerebrospinal fluid rhinorrhea making use of an extended approach to the Sphenoid Sinus
Otolaryngology-Head and Neck Surgery, 2002Co-Authors: Neelesh H Mehendale, Bradley F. Marple, Brian NussenbaumAbstract:Abstract Objectives: Specific information addressing the management of cerebrospinal fluid (CSF) fistulas that originate from within the Sphenoid Sinus remains scant. The objective of this study was to review the cause and management of CSF rhinorrhea arising from the Sphenoid Sinus. Study Design and Setting: This is a retrospective chart review of 12 cases of CSF rhinorrhea arising from the Sphenoid Sinus that occurred in 11 patients. All patients were treated at a single institution between 1994 and 1999. Results: All patients were managed surgically with Sphenoid Sinus fat obliteration using an endoscopic sublabial, transseptal approach. This approach was successful for all 12 cases, with median duration of follow-up of 18 months. Conclusions: Endoscopically assisted transseptal repair of CSF fistulas that originate within the Sphenoid Sinus offers an alternate approach to previously described methods of repair in this region. Advantages include wide access to the entire Sphenoid Sinus, improved access to laterally pneumatized regions within the Sphenoid Sinus, and rostral mucosal closure over the repair within the Sinus. (Otolaryngol Head Neck Surg 2002;126:147-53.)
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Management of Sphenoid Sinus cerebrospinal fluid rhinorrhea: making use of an extended approach to the Sphenoid Sinus.
Otolaryngology-Head and Neck Surgery, 2002Co-Authors: Neelesh H Mehendale, Bradley F. Marple, Brian NussenbaumAbstract:OBJECTIVES: Specific information addressing the management of cerebrospinal fluid (CSF) fistulas that originate from within the Sphenoid Sinus remains scant. The objective of this study was to review the cause and management of CSF rhinorrhea arising from the Sphenoid Sinus. STUDY DESIGN AND SETTING: This is a retrospective chart review of 12 cases of CSF rhinorrhea arising from the Sphenoid Sinus that occurred in 11 patients. All patients were treated at a single institution between 1994 and 1999. RESULTS: All patients were managed surgically with Sphenoid Sinus fat obliteration using an endoscopic sublabial, transseptal approach. This approach was successful for all 12 cases, with median duration of follow-up of 18 months. CONCLUSIONS: Endoscopically assisted transseptal repair of CSF fistulas that originate within the Sphenoid Sinus offers an alternate approach to previously described methods of repair in this region. Advantages include wide access to the entire Sphenoid Sinus, improved access to laterally pneumatized regions within the Sphenoid Sinus, and rostral mucosal closure over the repair within the Sinus.
Dan J Castro - One of the best experts on this subject based on the ideXlab platform.
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isolated inverting papilloma of the Sphenoid Sinus
Laryngoscope, 2003Co-Authors: Sunita Bhuta, Robert B. Lufkin, Dan J CastroAbstract:Objectives/Hypothesis: Primary inverting papilloma of the Sphenoid Sinus is rare. We present a case of inverting papilloma with isolated involvement of the Sphenoid Sinus and discuss the incidence, clinical presentation, radiographic features, histological findings, and management of patients with this disease. Study Design: Case report. Methods: The medical records, films, and pathology slides of a patient with isolated inverting papilloma of the Sphenoid Sinus seen at University of California Los Angeles Medical Center were reviewed. The clinical presentation, radiographic features, histopathological findings, treatment, and outcome of the case were examined. Results: A single case of inverting papilloma with isolated involvement of the Sphenoid Sinus is presented. Headache and diplopia were the presenting complaints, as is often seen with other isolated Sphenoid Sinus lesions. Endoscopic intranasal Sphenoid Sinusotomy was performed, and no evidence of recurrent disease has been seen after 6 months of follow-up. Conclusions: Isolated inverting papilloma of the Sphenoid Sinus is a rare phenomenon. In contrast to the vast majority of cases that present with nasal complaints (i.e., unilateral nasal obstruction, epistaxis) because of involvement of the lateral nasal wall, the clinical presentation of inverting papillomas confined to the Sphenoid Sinus is often nonspecific and insidious, with visual deficits being the predominant feature. Nevertheless, functional endoscopic intranasal Sphenoidotomy remains an effective mode of treatment for patients with these lesions.
Neelesh H Mehendale - One of the best experts on this subject based on the ideXlab platform.
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management of Sphenoid Sinus cerebrospinal fluid rhinorrhea making use of an extended approach to the Sphenoid Sinus
Otolaryngology-Head and Neck Surgery, 2002Co-Authors: Neelesh H Mehendale, Bradley F. Marple, Brian NussenbaumAbstract:Abstract Objectives: Specific information addressing the management of cerebrospinal fluid (CSF) fistulas that originate from within the Sphenoid Sinus remains scant. The objective of this study was to review the cause and management of CSF rhinorrhea arising from the Sphenoid Sinus. Study Design and Setting: This is a retrospective chart review of 12 cases of CSF rhinorrhea arising from the Sphenoid Sinus that occurred in 11 patients. All patients were treated at a single institution between 1994 and 1999. Results: All patients were managed surgically with Sphenoid Sinus fat obliteration using an endoscopic sublabial, transseptal approach. This approach was successful for all 12 cases, with median duration of follow-up of 18 months. Conclusions: Endoscopically assisted transseptal repair of CSF fistulas that originate within the Sphenoid Sinus offers an alternate approach to previously described methods of repair in this region. Advantages include wide access to the entire Sphenoid Sinus, improved access to laterally pneumatized regions within the Sphenoid Sinus, and rostral mucosal closure over the repair within the Sinus. (Otolaryngol Head Neck Surg 2002;126:147-53.)
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Management of Sphenoid Sinus cerebrospinal fluid rhinorrhea: making use of an extended approach to the Sphenoid Sinus.
Otolaryngology-Head and Neck Surgery, 2002Co-Authors: Neelesh H Mehendale, Bradley F. Marple, Brian NussenbaumAbstract:OBJECTIVES: Specific information addressing the management of cerebrospinal fluid (CSF) fistulas that originate from within the Sphenoid Sinus remains scant. The objective of this study was to review the cause and management of CSF rhinorrhea arising from the Sphenoid Sinus. STUDY DESIGN AND SETTING: This is a retrospective chart review of 12 cases of CSF rhinorrhea arising from the Sphenoid Sinus that occurred in 11 patients. All patients were treated at a single institution between 1994 and 1999. RESULTS: All patients were managed surgically with Sphenoid Sinus fat obliteration using an endoscopic sublabial, transseptal approach. This approach was successful for all 12 cases, with median duration of follow-up of 18 months. CONCLUSIONS: Endoscopically assisted transseptal repair of CSF fistulas that originate within the Sphenoid Sinus offers an alternate approach to previously described methods of repair in this region. Advantages include wide access to the entire Sphenoid Sinus, improved access to laterally pneumatized regions within the Sphenoid Sinus, and rostral mucosal closure over the repair within the Sinus.
Martin J Citardi - One of the best experts on this subject based on the ideXlab platform.
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endoscopic management of Sphenoid Sinus cerebrospinal fluid leaks
Annals of Otology Rhinology and Laryngology, 2008Co-Authors: Nathan B Sautter, Pete S Batra, Martin J CitardiAbstract:Objectives: Cerebrospinal fluid (CSF) leaks that originate within the Sphenoid Sinus pose a unique surgical challenge due to difficulties with access and visualization The objective of this report is to illustrate concepts for the successful management of Sphenoid Sinus CSF leaks. Methods: Retrospective data analysis was performed on 9 patients who presented to a tertiary care medical center for endoscopic repair of a Sphenoid Sinus CSF leak from January 2002 to January 2006. Results: The patient cohort included 7 women and 2 men with a mean age of 51.7 years. In 5 cases the CSF leak was caused by a previous neurosurgical procedure; the other 4 cases were idiopathic. An endoscopic pterygomaxillary fossa approach was required in 4 cases. A layered reconstruction of the Sphenoid Sinus wall with collagen allografts (cadaveric acellular dermal allograft, 8 patients; bovine collagen membrane, 1 patient) and mucosa under endoscopic visualization with intraoperative surgical navigation was performed in all cases. The reconstruction was buttressed with autologous bone in 2 cases and with cartilage in 2 cases. Fibrin sealant was used in 7 cases. Two patients developed transient diabetes insipidus after the repair. Two patients developed a recurrent CSF leak necessitating revision repair 2 and 15 months, respectively, after the initial repair procedure. The average hospital stay was 6.5 days. The mean length of follow-up was 21.1 months. Conclusions: This series demonstrates that minimally invasive endoscopic repair of Sphenoid Sinus CSF leaks may be accomplished with an acceptable rate of morbidity and excellent outcomes. Extended endoscopic approaches, including the pterygomaxillary fossa approach, may be useful in selected instances.
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isolated Sphenoid Sinus disease etiology and management
Otolaryngology-Head and Neck Surgery, 2005Co-Authors: Aaron D Friedman, Samer Fakhri, Pete S Batra, Martin J Citardi, Donald C LanzaAbstract:OBJECTIVE: To evaluate the diagnosis and management of isolated Sphenoid Sinus disease by using the current rhinologic standard of care. STUDY DESIGN: Retrospective chart review. RESULTS: Fifty sequential, symptomatic patients were studied. Presenting symptoms included headache or facial pain (88%), rhinorrhea (46%), and nasal congestion (26%). All patients underwent CT imaging, demonstrating bony changes or dehiscences (42%), a mass (24%), or complete opacification of the Sphenoid Sinus (22%). Eighty percent required surgical intervention. The most frequent diagnoses were as follows: Sinusitis (38%), fungal ball (20%), neoplasm (16%), and mucocele (12%). Treatment resulted in clinical or endoscopic improvement or resolution in 87% of the patients. CONCLUSION: The presenting symptoms of isolated Sphenoid Sinus disease can be nonspecific and may result in an inordinate delay in diagnosis. Nasal endoscopy and radiologic imaging are central to making an accurate and timely diagnosis. Medical treatment or minimally invasive surgical techniques can successfully manage the majority of patients with persistent or refractory symptoms.
Donald C Lanza - One of the best experts on this subject based on the ideXlab platform.
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isolated Sphenoid Sinus disease etiology and management
Otolaryngology-Head and Neck Surgery, 2005Co-Authors: Aaron D Friedman, Samer Fakhri, Pete S Batra, Martin J Citardi, Donald C LanzaAbstract:OBJECTIVE: To evaluate the diagnosis and management of isolated Sphenoid Sinus disease by using the current rhinologic standard of care. STUDY DESIGN: Retrospective chart review. RESULTS: Fifty sequential, symptomatic patients were studied. Presenting symptoms included headache or facial pain (88%), rhinorrhea (46%), and nasal congestion (26%). All patients underwent CT imaging, demonstrating bony changes or dehiscences (42%), a mass (24%), or complete opacification of the Sphenoid Sinus (22%). Eighty percent required surgical intervention. The most frequent diagnoses were as follows: Sinusitis (38%), fungal ball (20%), neoplasm (16%), and mucocele (12%). Treatment resulted in clinical or endoscopic improvement or resolution in 87% of the patients. CONCLUSION: The presenting symptoms of isolated Sphenoid Sinus disease can be nonspecific and may result in an inordinate delay in diagnosis. Nasal endoscopy and radiologic imaging are central to making an accurate and timely diagnosis. Medical treatment or minimally invasive surgical techniques can successfully manage the majority of patients with persistent or refractory symptoms.